Protocol · Oncology
Stomach Cancer Supportive Care Protocol
Omega-3 Fatty Acids and Vitamin D are the core of this stack, with 3 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Stomach Cancer Supportive Care.
We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.
The stack
5 supplements · none graded yet
| Grade | Supplement | Amount listed | Why it’s in the stack | Evidence on file |
|---|---|---|---|---|
| Primary stackThe core of this protocol | ||||
| Omega-3 Fatty Acids | Amount listed: 2–3 g EPA+DHA daily | Anti-inflammatory; supports immune function; may help maintain weight | Not graded yet | |
| Vitamin D | Amount listed: 2,000–4,000 IU daily | Immune support; often deficient in cancer patients | Not graded yet | |
| Supporting stackListed as additions to the core | ||||
| Protein Supplementation | Amount listed: 1.2–1.5 g/kg/day total protein | Critical for maintaining muscle mass; gastric surgery limits intake | Not graded yet | |
| Iron | Amount listed: If deficient: 65–100 mg elemental iron daily | Anemia common after gastric surgery; only if deficient | Not graded yet | |
| Vitamin B12 | Amount listed: 1,000 mcg daily sublingual or monthly injection | Cannot absorb B12 after total gastrectomy; requires supplementation | Not graded yet | |
How this protocol works
In plain language
Stomach (gastric) cancer is a serious cancer affecting the stomach lining. Treatment often involves surgery that significantly impacts nutrition and requires lifelong supplementation.
TYPES:
- Adenocarcinoma (most common)
- Lymphoma
- Gastrointestinal stromal tumors (GIST)
- Carcinoid tumors
CRITICAL: Stomach cancer requires comprehensive oncological care. This protocol is SUPPORTIVE ONLY and must be coordinated with your oncology team.
TREATMENTS:
- Surgery (partial or total gastrectomy)
- Chemotherapy
- Radiation therapy
- Targeted therapy (HER2+)
- Immunotherapy
NUTRITIONAL CHALLENGES AFTER GASTRECTOMY:
- Small stomach capacity
- Dumping syndrome
- Vitamin B12 malabsorption (requires lifelong supplementation)
- Iron deficiency
- Calcium/vitamin D deficiency
- Weight loss
Vitamin B12* is mandatory after total gastrectomy.
Iron and calcium* absorption are impaired.
Protein intake* is critical but challenging.
Expected timeline: Nutritional support is lifelong after gastrectomy.